Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Familia Dental Fort Wayne PLLC (NPI 1467792663)

Field	Value
Entity Type	Organization
Organization	Familia Dental Fort Wayne PLLC
Address	5328 Coldwater Rd
City	Fort Wayne
State	IN
ZIP	46825
Taxonomy	Dental Clinic/Center
NPI Enumerated	February 25, 2013

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	7,770	$160	$1.2M
D1351	Sealant - per tooth	44,830	$20	$941.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16,300	$40	$635.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,900	$70	$544.8K
D0274	N/A	18,390	$30	$514.8K
D0150	Comprehensive oral evaluation – new or established patient	14,780	$30	$458.1K
D0120	Periodic oral evaluation - established patient	24,140	$20	$434.5K
D1120	Prophylaxis–child	16,470	$30	$428.3K
D4346	N/A	2,020	$170	$345.8K
D0230	Intraoral - periapical each additional radiographic image	38,630	$10	$309.1K

Showing 1–10 of 42

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Familia Dental Fort Wayne PLLC — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	55	80	530	$270	$360.3K
D1354	N/A	46	130	700	$70	$252.9K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	18	350	410	$150	$251K
D1351	Sealant - per tooth	9	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	17	540	460	$70	$106.9K
D7230	N/A	14	50	90	$210	$101.3K
D7310	N/A	23	30	170	$170	$96.6K
D5110	N/A	51	50	80	$410	$91.3K
D2392	Post 2 surface resin‑based composite	44	720	400	$60	$76.5K
D1120	Prophylaxis–child	33	970	450	$30	$69K

Showing 1–10 of 42

Nearby Providers

Other providers in the same ZIP code as Familia Dental Fort Wayne PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A.i.d. Residential Services, LLC	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.4M
Lakewood Family Dental Inc	IN	Dentist	$0	$8.7M
Associated Surgeons And Physicians, LLC	IN	Obstetrics & Gynecology Physician	$0	$8.5M
Orthopaedics Northeast PC	IN	Orthopaedic Surgery Physician	$0	$6.6M
Hand In Hand Comprehensive Therapy Specialists Inc	IN	Occupational Therapist	$0	$6.4M
Kids.healthcare PC	IN	Pediatrics Physician	$0	$4.8M
Steppin Up Physical Therapy, Inc.	IN	Physical Therapist	$0	$4.6M
Mobile Medical Maintenance, LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4.3M
Dupont Hospital LLC	IN	General Acute Care Hospital	$0	$3.8M
Ear, Nose & Throat Associates, PC	IN	Otolaryngology Physician	$0	$3.4M

Familia Dental Fort Wayne PLLC — Billing Profile & Reimbursement Data

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Familia Dental Fort Wayne PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References